NPI | 1164976841 |
---|---|
Former Name | MELINDA M MITZELFEH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1325100) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070018808) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2023-09-28 |